两种不同术式治疗变应性鼻炎合并鼻中隔偏曲的临床-第三军医大学学报.doc

两种治疗伴鼻中隔偏曲的变应性鼻炎的 齐景翠 （郑州大学第一附属医院鼻科，河南郑州，450052） 【摘要 目的两种治疗鼻中隔偏曲的变应性鼻炎疗效及应用价值。 方法 将例合并鼻中隔偏曲的变应性患者根据下鼻甲粘膜肥厚及骨增生情况分为，行鼻中隔偏曲矫正低温等离子射频消融并骨折外移术鼻中隔偏曲矫正双下鼻甲膜下切除术疗效采用兰州标准和鼻阻力测量进行评价The effect of two surgical treatments in treatment of allergic rhiniti complicated with nasal septum deviation ZHAO Yulin LI Weiya WAN Jing ZHANG Yaqian QI Jingcui ( Department of Ｒhinology，the First Affiliated Hospital of Zhengzhou University，Zhengzhou 450052， China) [Abstract] Objective To evaluate the effect of two surgical treatments in treatment of allergic rhiniti complicated with nasal septum deviation. Methods 91 cases of allergic rhiniti complicated with nasal septum deviation were divided into 2 groups according to the inferior turbinate mucosal hypertrophy and hyperplasia of bone. They were treated by resection of nasal septum deviation combined with temperature-controlled radio-frequency, or combined with partial submucoperiosteous resection of inferior turbinate bone. The Lanzhou standard(2004) and nasal airway resistance were used to evaluate the efficacy. Result After followed-up for one year postoperatively, the nasal resistance was significantly decreased and the effective rates were greater than 88% in each group. Conclusion Both of the two surgical treatments can significantly depress the nasal resistance, and improve the allergic symptoms, shows good effect. [Key words] Allergic rhinitis; Deviaction of nasal septum; Temperatur-controlled radio-frequency; Partial submucoperiosteous resection of inferior turbinate bone. 变应性鼻炎（allergic rhinitis，AR），可严重影响患者的生活质量，并可诱发支气管哮喘，与鼻窦炎、鼻息肉等疾病也有密切关系。的发病率目前有全球逐年增加的趋势，已成为耳鼻喉科门诊最见的疾病之一治疗原则包括环境控制、药物治疗、免疫治疗和等[]。虽然手术不是AR的主要治疗手段，但目前已经认识到鼻腔解剖结构的异常与症状的严重程度及治疗效果有一定相关性，在临床中我们也发现合并鼻中隔偏曲的AR患者症状通常较严重、单纯药物治疗效果欠佳。对于此类AR患者，可以通过手术改善其症状。本研究通过记录在手术前后症状、体征改善情况，两种在治疗中的疗效及应用价值。 1 资料与方法 1.1临床资料 选取我科2011年12月~2012年9月收治入院的合并鼻中隔偏曲的患者共例，其中男性5例，女性3例；年龄18～45岁，平均27岁；病程3～25年。患者均有常年性鼻塞、打喷嚏、流清水样涕、鼻痒等症状，皮肤抗原针刺实验阳性，体检可见不同程度的鼻黏膜苍白下鼻甲水肿，均符合AR的诊治